Please complete the form below to appply for a puppy and to help me learn a little bit more about you and what your specific needs are.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Where you live (City & State) *

I understand that BD&P does not breed and never will breed mini's. *

YesNo

What breed are you interested in? *

Why did you choose this breed? *

Preferred Sex *

Preferred Color *

If "other" on color please specify. *

Does anyone in your household suffer from allergies? (Pet or airborne/seasonal) *

Please explain allergy situation *

What best describes your household? Choose all that apply. *

Single Person (Under 30)Single Person (30-55)Single Person (Over 55)Young CoupleMiddle Aged CoupleSenior CoupleFamily with children younger than 5Family with children between 5 and 12Family with children 13 and upSingle parent with child of any age (choose other option that fits child's age)Other